Leaders In Training Participant
Character Reference

Thank-you for taking the time to complete this reference form. The applicant who sent you the link to this form is applying as a participant in our Leader In Training Program.

Pioneer Camp is a children's Christian summer camp and year round retreat centre. For more information about camp please go to: pioneercampontario.ca

Please first identifiy the person you are completing the reference for:

Applicant First Name *

Applicant Last Name *

Reference Information

Please take a moment to provide us with your information, and your relationship to the person applying.

Your First Name *

Your Last Name *

Phone Number *

Phone Type: *

Email Address *

What is your Relationship with the applicant, in what capacity do you know them? *

How long have you known the applicant? *

Less than 1 year

1 to 3 years

4 to 8 years

More than 8 years

How often do you interact with the applicant? *

Multiple times per week

Every few weeks

Monthly

Few times a year

May we contact you if further information is required? *

Yes

No

Applicant Information

The LIT program at Pioneer Camp is an intense and demanding experience. Three weeks are spent in training, followed by two weeks of developing practical skills by working with children and staff in a camp setting. Please rate this employee in the following areas, and add any additional comments in the box provided. *

Excellent

Above Average

Average

Below Average

Unknown

Ability to follow instructions

Excellent

Above Average

Average

Below Average

Unknown

Ability to work as part of a team

Excellent

Above Average

Average

Below Average

Unknown

Energy Level

Excellent

Above Average

Average

Below Average

Unknown

Honesty

Excellent

Above Average

Average

Below Average

Unknown

Judgement

Excellent

Above Average

Average

Below Average

Unknown

Leadership Ability

Excellent

Above Average

Average

Below Average

Unknown

Promptness

Excellent

Above Average

Average

Below Average

Unknown

Sense of Humour

Excellent

Above Average

Average

Below Average

Unknown

Communication Ability

Excellent

Above Average

Average

Below Average

Unknown

Self-Control

Excellent

Above Average

Average

Below Average

Unknown

Ability to receive and grow from criticism

Excellent

Above Average

Average

Below Average

Unknown

Flexibility

Excellent

Above Average

Average

Below Average

Unknown

Ability to work under stress

Excellent

Above Average

Average

Below Average

Unknown

Creativity

Excellent

Above Average

Average

Below Average

Unknown

Ability to influence peers positively

Excellent

Above Average

Average

Below Average

Unknown

Healthy respect for authority

Excellent

Above Average

Average

Below Average

Unknown

Capacity to engage new ideas

Excellent

Above Average

Average

Below Average

Unknown

Is there anything that, in your opinion, affects the suitability of the applicant for this program? *

What strengths would the applicant contribute to this program of young leaders? *

In your opinion, does this applicant demonstrate maturity and the potential to work effectively with children in a camp setting? *

Is there any additional information you would like us to know about the applicant?